Susan M Maurer, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Practice address

3020 Happy Landing Dr
Springfield, IL 62711-6259

Phone

(217) 546-9166

Fax

(217) 546-7804

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730243296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAPPY LANDING DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116259",
            "telephone_number": "217-546-9166",
            "fax_number": "217-546-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAPPY LANDING DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116259",
            "telephone_number": "217-546-9166",
            "fax_number": "217-546-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002880",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Mattiuz, PHARMD
• Evelina Matveyev, LCSW
• Daniel Maughan, CRNA
• Maurer Family Dental LLC
• Greg Maurer, MD
• Shakuntala Hanumant Mauzo, MBBS,MD
• Amanda M Mavis, FNP
• Harolyn G Maxwell, CRNA
• Tiphanie May, LCSW
• Samantha Ariel Mayberry, DC

• Pediatric Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.